Wolfe E S, Jones H W
West J Med. 1985 Apr;142(4):570-2.
A review of the literature and the experience of a residency program in internal medicine indicate that house officers have special problems during training. Some are shared by all residents, whereas others are unique to certain groups. These problems are caused by historical and cultural factors that have led to the current structure of many residency programs and often interfere with the parallel development of professional, personal and family growth. Program directors and chiefs of service need to be flexible and humane and should negotiate clear expectations with house staff to allow efficient functioning of the residency program and insightful personal growth.
对内科住院医师培训项目的文献综述及经验表明，住院医师在培训期间存在特殊问题。有些问题是所有住院医师共有的，而其他问题则是某些群体所特有的。这些问题是由历史和文化因素造成的，这些因素导致了许多住院医师培训项目的当前结构，并且常常干扰专业、个人和家庭成长的并行发展。项目主任和科室主任需要灵活且有人情味，应该与住院医师明确协商期望，以确保住院医师培训项目高效运作并实现有洞察力的个人成长。
